| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,717 |
2,357 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,047 |
890 |
$48K |
| 90677 |
|
59 |
41 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
97 |
79 |
$8K |
| 90750 |
|
44 |
38 |
$7K |
| 90686 |
|
397 |
306 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
39 |
$4K |
| 90656 |
|
58 |
46 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
106 |
92 |
$657.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
17 |
$171.38 |
| 36415 |
Collection of venous blood by venipuncture |
419 |
378 |
$32.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
170 |
$0.00 |